Individual
HEIDI Y. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
249 DAKOTA ST, SUTHERLIN, OR 97479-9908
(541) 677-7200
(541) 229-3309
Mailing address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31728
OK
207Q00000X
Family Medicine Physician
MD-20783
HI
207Q00000X
Family Medicine Physician
Primary
MD216375
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500822418
—
OR
Enumeration date
04/28/2015
Last updated
08/30/2023
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